Michael David Smith, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD.207563 Issued in LA

Practice address

1057 Paul Maillard Road
Luling, LA 70070-4349

Phone

(985) 785-6242

NPI assigned

Jun 8, 2006

Last updated

Oct 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians

Kenner Emergency Group LLCGroup PAC ID 8426011230, 52 clinicians

St. John Emergency Group LLCGroup PAC ID 4082641303, 19 clinicians

Foucher Emergency Group LLCGroup PAC ID 8729254073, 40 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: msmith@direct.swgeneral.com
• Direct secure messaging: msmith298590@direct.ochsner.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foucher Emergency Group LLC

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1871879007
  Medicare reassignment Care Compare group NPD
• Kenner Emergency Group LLC

  • Emergency Medicine Physician
  • Kenner, LA
  • NPI 1013986546
  Medicare reassignment Care Compare group NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment Care Compare group NPD
• St. John Emergency Group LLC

  • Emergency Medicine Physician
  • La Place, LA
  • NPI 1265401509
  Medicare reassignment Care Compare group NPD
• Belle Chasse Emergency Group LLC

  • Emergency Medicine Physician
  • New Orleans, LA
  • NPI 1851714075
  Medicare reassignment NPD
• Luling Emergency Group LLC

  • Emergency Medicine Physician
  • Luling, LA
  • NPI 1528446101
  Medicare reassignment NPD
• St Tammany Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Covington, LA
  • NPI 1891187654
  Medicare reassignment NPD
• Vincent Emergency Group, LLC

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1740816917

  LA

  Medicare reassignment NPD
• Ochsner Clinic LLC

  dba Diabetes Prevention Program

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Emergency Medicine Physicians of Medina County, LTD

  • Emergency Medicine Physician
  • Lodi, OH
  • NPI 1457390312
  NPD (past)
• Emergency Medicine Physicians of Richland County, LTD

  • Emergency Medicine Physician
  • Mansfield, OH
  • NPI 1952341380
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• Ochsner Medical Center - Kenner, L.L.C.

  • General Acute Care Hospital
  • Kenner, LA
  • NPI 1710097936
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1699715250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 PAUL MAILLARD ROAD",
            "city": "LULING",
            "state": "LA",
            "postal_code": "700704349",
            "telephone_number": "985-785-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35085414",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.207563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01083050",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2392948",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2577920",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Kristen Shields
• Linda M Sider
• Jennifer Hillary Sirmon, PT
• SLM Nonemergency Medical Transportation
• Derel J Smith, P.D.
• Terida Landreaux Smith, RPH
• Songy Family Eyecare LLC
• Bryan Soulie, PT
• Shelia Fonseca Southard, MED, CCC,SLP
• Southern Fertility Center

• Emergency Medicine Physician in Luling, LA
• Providers in Luling, LA by specialty
• Emergency Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.